Ezeaku Chizowa O, Ejembi Gabriel O, Balogun Simon A, Anele Christopher O, Ajekwu Temitope O, Komolafe Edward O
Neurosurgery Unit, Department of Surgery, Obafemi Awolowo University Teaching Hospitals Complex, Ile Ife, Osun State, Nigeria.
Department of Surgery, Obafemi Awolowo University, Ile Ife, Osun State, Nigeria.
J West Afr Coll Surg. 2025 Jan-Mar;15(1):97-101. doi: 10.4103/jwas.jwas_179_23. Epub 2024 Aug 2.
Cerebral venous sinus thrombosis (CVST) is an uncommon and underreported neurological condition. This condition has varied aetiologies, clinical manifestations, and significant sequelae if left untreated. We report the case of a 10-year-old male with fever, altered sensorium, cranial nerve neuropathies, and left hemiplegia. His imaging findings revealed features consistent with CVST, and he was subsequently noticed to be passing live worms per rectum while on admission. He was managed nonoperatively, improved significantly, and was discharged with residual motor deficits. In addition, we present a literature review of published case reports of CVST associated with helminthiasis, highlighting its possible pathophysiology, clinical spectrum, and management peculiarities.
脑静脉窦血栓形成（CVST）是一种罕见且报道不足的神经系统疾病。这种疾病病因多样，临床表现各异，若不治疗会导致严重后遗症。我们报告一例10岁男性病例，该患者有发热、意识改变、颅神经病变和左侧偏瘫。其影像学检查结果显示符合CVST的特征，随后在入院期间发现他经直肠排出活虫。他接受了非手术治疗，病情显著改善，出院时仍有残留运动功能障碍。此外，我们对已发表的与蠕虫病相关的CVST病例报告进行了文献综述，强调了其可能的病理生理学、临床谱和治疗特点。
